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目的:探讨根治性全胃切除空肠间置代胃术治疗老年胃癌的疗效。方法:对98例老年胃癌行根治性全胃切除空肠间置代胃术的资料进行回顾性分析。结果:患者平均手术时间为(184±20.8)min;术中平均出血量(101.5±10.8)mL;平均住院时间(17.9±4.8)d;术后随访1年,存活率62.24%(61/98);32.65%(32/98)术后出现并发症,经对症治疗症状缓解;术后1年接受检查的存活患者各项生化指标及体质量均恢复正常,与术前比较差异有统计学意义(P均<0.05);内镜与影像学复查结果良好;术后1年患者生活质量逐渐转优。结论:根治性全胃切除空肠间置代胃术能够有效地帮助老年胃癌患者实现消化道的重建,并能充分地将胃癌病灶切除,减少并发症,预后良好。
Objective: To investigate the curative effect of radical total gastrectomy and jejunostomy on gastric cancer in elderly patients. Methods: A retrospective analysis was performed on the data of radical gastrectomy and gastrectomy in 98 cases of elderly patients with gastric cancer. Results The mean operative time was (184 ± 20.8) min; the mean intraoperative blood loss was (101.5 ± 10.8) mL; the average length of stay was (17.9 ± 4.8) days; the follow-up was 1 year after operation, with a survival rate of 62.24% ); 32.65% (32/98) postoperative complications, symptomatic treatment of symptomatic relief; 1 year after surgery in patients with biochemical indicators and body weight returned to normal, compared with the preoperative difference was statistically significant (All P <0.05). The results of endoscopic and radiological examinations were good. The quality of life of patients was gradually improved after one year. Conclusion: Radical total gastrectomy for gastroesophageal replacement surgery can effectively help elderly patients with gastric cancer reconstruction of the digestive tract, and gastric cancer can be fully resected to reduce complications and good prognosis.